Jasmin Olmedo
Overview
10
10
years of professional experience
Work History
Customer Advocate
Centene/Ambetter Health Plan
02.2024 - Current
- Answer inbound calls to assist members with their account details such as:
- Insurance ID card requests
- My Rewards card requests and details
- Submit their monthly premium
- Enroll into autopay
- Submit claim disputes, reviews, or answer common claim questions
- Provide website walkthrough
- Provide a listing of doctors in member’s area either via website or by email
- File complaints or grievances
- Update their primary care physician on file
- Update their address, phone number, and other demographics.
- Going the extra mile to follow up with the Marketplace to fix any issues affecting the member’s eligibility and coverage to receive care.
Provider Data Analyst
Centene/Trillium
09.2023 - 12.2024
- Make outbound calls to confirm practitioner attendance and any practice updates such as address, phone number, etc.
- Submitting tickets to update info in the Find a Provider Directory on the online website.
- Following up periodically with practitioner NPI statuses to confirm if they have renewed or expired license dates.
- I recently acquired experience with CenProv and Portico, while working with Centene's Provider Data Management Team.
Member Care Coordinator
Carelon Behavioral Health
06.2020 - 09.2023
- Answer inbound calls to assist members with contacting licensed therapists, psychiatrists, psychologists, or require inpatient services for substance use.
- Make outbound calls to follow up with members who are high risk or are getting started with their journey to mental health.
- Initial contact data entry. Collect the member’s insurance ID number, full name, date of birth, address, and best contact number.
- Assist provider offices with verifying eligibility, benefits, submitting out of network coverage requests, and providing them with instruction to become in-network providers for our members.
Member Services Representative
Liberty Dental Plan
08.2018 - 05.2020
- Majority inbound calls – Answer coverage information for members and for dental offices
- Call backs through our automated system only when extreme high call volumes arise
- Prepare calls with accurate information and transfer calls to correct departments (ex: Prepare call notes for referrals/claims representative to know where to pick up on a call for the members not to repeat themselves)
PAC Scheduler
CHOC Hospital
03.2018 - 06.2018
- High number of Inbound calls - Registering New Patients, Updating Demographics
- Scheduling initial or return appointments for patients with multiple specialty pediatric divisions such as Orthopedics, Endocrinology, Urology, Neurology, Ophthalmology etc.
- Answering general demographic questions / Asking health related/injury questions
Claim, Provider & Support Operations
United Healthcare – Optum
09.2017 - 01.2018
- Analyzing benefit documents.
- Building benefits in systems.
- Auditing work of colleagues.
- Respond to inquiries regarding data.
- Assigned outbound calls made by leadership to confirm info w/other departments.
Member Outreach Representative
Alignment Health Plan
11.2016 - 06.2017
- Generally made outbound calls from a queue / Occasionally received inbound calls
- Scheduled initial/annual health assessments with Nurse Practitioners or Medical Doctors
- Encouraged members to attend programs such as educational diabetic classes
- Asked personal mental and health related questions (details were released by members for better assistance by NP/M.D.)
Member Intake Representative
CareMore Medical Group
04.2016 - 11.2016
- High number of Inbound calls / Returning voicemails.
- Asking health related questions - Data Entry (ex: Enter member’s response).
- Scheduled health assessments with Nurse Practitioners regarding special programs.
Inbound Call Center Representative
Pinnacle - Covered California
11.2015 - 03.2016
- Assisted with inbound calls from sales agents.
- Processed insurance applications.
- Assisted and corrected with application errors.
- Organized outbound call queue.
Education
Diploma - undefined
Saddleback High School
06.2011
Diploma - undefined
Irvine Valley College
06.2012
Diploma - Medical Billing and Coding
Everest College
06.2013
Skills
- Bilingual: English / Spanish
- Attention to detail
- Customer Service
- Excel Certified
- Microsoft Word and OneDrive Use
- Data Entry – 52/wpm
Timeline
Customer Advocate
Centene/Ambetter Health Plan
02.2024 - Current
Provider Data Analyst
Centene/Trillium
09.2023 - 12.2024
Member Care Coordinator
Carelon Behavioral Health
06.2020 - 09.2023
Member Services Representative
Liberty Dental Plan
08.2018 - 05.2020
PAC Scheduler
CHOC Hospital
03.2018 - 06.2018
Claim, Provider & Support Operations
United Healthcare – Optum
09.2017 - 01.2018
Member Outreach Representative
Alignment Health Plan
11.2016 - 06.2017
Member Intake Representative
CareMore Medical Group
04.2016 - 11.2016
Inbound Call Center Representative
Pinnacle - Covered California
11.2015 - 03.2016
Diploma - undefined
Saddleback High School
Diploma - undefined
Irvine Valley College
Diploma - Medical Billing and Coding
Everest College